| NPI | 1518665025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7577) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 295671) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2025-07-07 |