| NPI | 1891689600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2025029715) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 155391) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-07-22 |