| NPI | 1912685835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND 201019) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R38623) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-10-17 |