| NPI | 1952793721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9195993) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D184967) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2025-07-15 |