| NPI | 1578395315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101905) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 101905) |
| 163W00000X Registered Nurse (Licence: FL RN9465179) | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-07-18 |