| NPI | 1871269704 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 30963)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 191138)  | 
| Enumeration Date | 2021-08-19 | 
| Last Update Date | 2022-03-15 |