| NPI | 1073766358 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9222642)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026501)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2333612)  | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 087979-23)  | |
| Enumeration Date | 2008-10-30 | 
| Last Update Date | 2023-08-08 |