| NPI | 1992264543 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 202210113CRNA-PP) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R238136) | 
| Enumeration Date | 2019-03-13 | 
| Last Update Date | 2025-02-12 |