| NPI | 1760001002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010026705) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 083183-23) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2023-04-17 |