| NPI | 1073233052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11041907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704359383) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-11-03 |