| NPI | 1790358000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11017739) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9448202) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2023-08-03 |