| NPI | 1710798244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 39001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 924358) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901994) | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-09-02 |