| NPI | 1558162768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 153455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 189442) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-05-31 |