| NPI | 1205603073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 239720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN156685) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2025-02-03 |