| NPI | 1821767336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 30938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 219575) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2022-04-19 |