| NPI | 1871199265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0135133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001270726) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2022-02-23 |