| NPI | 1609662170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 2401) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PR 2401) |
| Enumeration Date | 2025-04-19 |
| Last Update Date | 2026-06-02 |