| NPI | 1710095146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1310) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 124027) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2025-04-23 |