| NPI | 1104663699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN269788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN269788) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2025-06-23 |