| NPI | 1700361441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R263664) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 694737) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-04-30 |