| NPI | 1053722959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 19268) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 159800) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2025-09-09 |