| NPI | 1831882687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN650321) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 112026-23) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-09-04 |