| NPI | 1952867848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 28294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000204961) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 769874) | |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2020-10-16 |