| NPI | 1306679964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 161096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 227075) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2026-05-21 |