| NPI | 1093395477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11017458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 148802) |
| 163W00000X Registered Nurse (Licence: NY 688367) | |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2025-10-01 |