| NPI | 1679143069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7289) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 680041) |
| 163W00000X Registered Nurse (Licence: NC 244374) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-12-10 |