| NPI | 1073624565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024197895) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 145397) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2026-06-25 |