| NPI | 1922755891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 143675) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9575880) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2024-05-02 |