| NPI | 1760136931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11023661) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9331215) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-12-22 |