| NPI | 1467289561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 42012) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 124230) |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2026-06-10 |