| NPI | 1053164277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA CRNA299973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN299973) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2025-11-03 |