| NPI | 1306524418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN744610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN744610) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 151604) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-08-22 |