| NPI | 1710653555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 35663) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 207354) |
| 207L00000X Anesthesiology (Licence: TN 147168) | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2024-04-10 |