| NPI | 1669862009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5152) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 228257) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2025-03-20 |