| NPI | 1801548490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10000828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2448288) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-01-05 |