| NPI | 1740941905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN745773) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704373677) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN745773) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 279969) | |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2022-01-09 |