| NPI | 1942837786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12.008878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9334023) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11007012) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-06-11 |