| NPI | 1164888004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 451019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 225039) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2025-10-13 |