| NPI | 1942950738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 31946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN718280) |
| 163W00000X Registered Nurse (Licence: TN 214361) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-10-13 |