| NPI | 1710300850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27350) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 163146) |
| Enumeration Date | 2014-01-25 |
| Last Update Date | 2023-07-14 |