| NPI | 1114857935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 8274) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 159565) |
| Enumeration Date | 2026-05-22 |
| Last Update Date | 2026-08-12 |