| NPI | 1952171183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 8253) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 269686) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2026-08-17 |