| NPI | 1356114599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN646019) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 30137) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2025-05-20 |