| NPI | 1720150220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 9668665) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP1830132) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 1830132) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-02-05 |