| NPI | 1972110328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 188417) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2022-03-29 |