| NPI | 1952583874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 184463) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 480224) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2025-06-02 |