| NPI | 1043506983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9204392) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 103802) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2026-05-14 |