| NPI | 1962681767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 4827) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 149771-030) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2025-11-06 |