| NPI | 1972968634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9475321) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 101249) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2021-01-01 |