| NPI | 1558179721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11040318) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0021170) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-08-16 |