| NPI | 1679342075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC006238) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 148081) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-06-07 |