| NPI | 1780564609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1217081) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: TX 926081) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-12-18 |