| NPI | 1710558374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 144846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA PA737493) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-07-14 |