| NPI | 1063197770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 157377) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KY 1145120) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2025-12-19 |