| NPI | 1700249372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25811) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 630343) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 077582-23) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 8540) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-05-16 |