| NPI | 1093445710 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024193766) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R249268) | 
| Enumeration Date | 2022-06-15 | 
| Last Update Date | 2025-07-15 |