| NPI | 1780855742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 75098) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2023-09-15 |