| NPI | 1841511276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 110619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 168157-30) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2022-11-23 |