| NPI | 1932857398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 138749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 145876) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-05-18 |