| NPI | 1174170138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6667) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 268277) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2025-03-22 |