| NPI | 1467103655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN10012011) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN753326) |
| 163W00000X Registered Nurse (Licence: IL 041480604) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2025-03-10 |