| NPI | 1003524109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10005169) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 139742) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2026-03-25 |