| NPI | 1730952011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN743183) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN743183) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2026-06-15 |