| NPI | 1992379895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 007643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 684560) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2346472) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-04-28 |