| NPI | 1669855813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5274) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 218084) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-12-08 |