| NPI | 1790452555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7520) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 151523) |
| 163W00000X Registered Nurse (Licence: NC 306219) | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-10-24 |