| NPI | 1811562903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11027935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN-9417907) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2023-08-07 |