| NPI | 1649977869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 794887) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN760470) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2026-03-09 |