| NPI | 1073994281 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 74058)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 093159-23)  | 
| Enumeration Date | 2015-06-12 | 
| Last Update Date | 2024-02-22 |