| NPI | 1598069551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4043233) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 15379) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2025-07-29 |