| NPI | 1720635477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 270646) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2022-02-10 |