| NPI | 1922731538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10010243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95190720) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 20139164) | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2023-07-07 |