| NPI | 1407714397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11044977) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9521698) |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-17 |