| NPI | 1023575297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 314368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 747977) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 1108912) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2557) | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2025-06-09 |