| NPI | 1578398541 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 251606-30)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI J2500119401102)  | 
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 251606)  | |
| Enumeration Date | 2024-09-07 | 
| Last Update Date | 2025-07-30 |