| NPI | 1760829063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 3063) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 92664) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2025-05-19 |