| NPI | 1992146237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 157407) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 195910-30) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2025-07-01 |