| NPI | 1700444510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177952) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 122966) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-08-28 |