| NPI | 1104475946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0100469) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9383365) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005430) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2025-06-17 |