| NPI | 1235642083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-138626) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003218) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2026-06-12 |