| NPI | 1013488634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25676) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 682180-1) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2026-05-14 |