| NPI | 1619869989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11047997) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9505021) |
| Enumeration Date | 2025-07-19 |
| Last Update Date | 2026-06-09 |