| NPI | 1639703010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7002) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 262561) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-06-15 |