| NPI | 1215813886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704321866) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704321866) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-09-03 |