| NPI | 1871224170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN286685) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN286685) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28833) | |
| Enumeration Date | 2022-06-19 |
| Last Update Date | 2025-10-22 |