| NPI | 1083927909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 3156) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 971) |
| 163W00000X Registered Nurse (Licence: NC 222143) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2025-11-03 |