| NPI | 1881041010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20216) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1234) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2022-03-29 |