| NPI | 1942972906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 12647343-4406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN254500) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2022-03-17 |