| NPI | 1114792173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 37096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000204657) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2025-10-21 |