| NPI | 1790310456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11007138) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9367567) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9367567) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2021-07-09 |