| NPI | 1023123361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 128812) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9245661) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025673) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2025-12-19 |