| NPI | 1316531205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 131109) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 8210) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2026-04-13 |