| NPI | 1629775689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11026809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9478859) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-10-09 |