| NPI | 1366053001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN10015890) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7223) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA RN156682) | |
| Enumeration Date | 2020-08-15 |
| Last Update Date | 2025-02-12 |