| NPI | 1689271520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 007051) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 28205) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2022-12-21 |