| NPI | 1992303770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 9399697) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 334097) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2025-07-22 |