| NPI | 1952771560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201800606CRNA-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200440928RN) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2021-12-28 |