| NPI | 1649924002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 194873) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 138744) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2023-07-05 |