| NPI | 1780465047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 00000X) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 154149) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2025-06-12 |