| NPI | 1902447733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005389) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL RN9385984) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2023-02-01 |