| NPI | 1093106338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 323629) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 695821) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2025-05-15 |