| NPI | 1629911920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 230077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 230077) |
| 163W00000X Registered Nurse (Licence: AR 216093) | |
| Enumeration Date | 2026-04-11 |
| Last Update Date | 2026-09-30 |