| NPI | 1518741131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024194687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 342897) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-09-18 |