| NPI | 1659147726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 147846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN695342) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-12-13 |