| NPI | 1598363657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 303533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F09201688) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2026-01-15 |