| NPI | 1205671203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11047842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9565385) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2026-06-22 |