| NPI | 1912686569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023034485) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 896075) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2025-07-09 |