| NPI | 1023688447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024187615) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: FL 9462296) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2025-04-10 |