| NPI | 1508782137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024198949) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 159593) |
| Enumeration Date | 2026-06-26 |
| Last Update Date | 2026-10-01 |