| NPI | 1023722774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10054809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10054809) |
| 163W00000X Registered Nurse (Licence: PA RN744405) | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2026-04-21 |