| NPI | 1831546175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 217529) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 110912) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2022-02-23 |