| NPI | 1730856329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 30953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN259317) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-06-02 |