| NPI | 1043071376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: HI 142859) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0001280121) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-03-25 |