| NPI | 1669943676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9374817) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: FL 9374817) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-08-24 |