| NPI | 1962030601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 135523) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9249757) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-08-11 |