| NPI | 1841642147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003164) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR C003164) |
| 163W00000X Registered Nurse (Licence: AR R079247) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-07-30 |