| NPI | 1790250215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001200434) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2019-04-02 |