| NPI | 1083653281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2279382) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA RN358195L) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN358195L) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 6866) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 150686) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2026-03-25 |