| NPI | 1972132686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 214510) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 146856) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2023-03-01 |