| NPI | 1013616630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9481989) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4041329) | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2025-07-24 |