| NPI | 1104781442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 226804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0132078) |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2026-01-30 |