| NPI | 1811567381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN719408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001219118) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001219118) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-08-08 |