| NPI | 1669129094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024186325) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001272717) |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2023-02-07 |