| NPI | 1730650698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11007198) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 647022) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2025-04-10 |