| NPI | 1043082688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0104380) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: OH 451231) |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2025-07-02 |