| NPI | 1083358519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 41552) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27837) |
| 163W00000X Registered Nurse (Licence: KS 136421) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 558015) | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2026-07-31 |