| NPI | 1992631618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR 99126) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 345112) |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-09-04 |