| NPI | 1396693990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10062859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202001359RN) |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-07-28 |