| NPI | 1578371662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 82659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28281277A) |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2025-03-14 |