| NPI | 1104598598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10018660) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10018660) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 324901) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2025-12-18 |