| NPI | 1972367415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN646010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 646010) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-07-03 |