| NPI | 1679276877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 14826) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 222297-30) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 222207-30) | |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2024-02-12 |