| NPI | 1053580936 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201900978CRNA) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704217848) | 
| Enumeration Date | 2008-02-26 | 
| Last Update Date | 2025-06-18 |