| NPI | 1407809809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN130988) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25690A) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-03-20 |