| NPI | 1639686876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 118725) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001229027) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 302365) | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-07-15 |