| NPI | 1821689662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 170665) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 837196) |
| 163W00000X Registered Nurse (Licence: AK 142455) | |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |