| NPI | 1821313172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN 4203) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 102093) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2020-10-28 |