| NPI | 1497584064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN295717) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2025-09-25 |