| NPI | 1376372516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA GAA-RNA003729) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN764270) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN764270) | |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2025-08-25 |