| NPI | 1255091583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 242479) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 41000) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2026-02-04 |