| NPI | 1952941916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024186411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN711816) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-03-23 |