| NPI | 1912536996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 30914) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 220375) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2022-03-31 |