| NPI | 1871123273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7118) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 00012504247) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2023-04-18 |