| NPI | 1013661230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024186691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 904663) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6828) | |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2026-03-27 |