| NPI | 1104820638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 4297) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 107942) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2025-11-03 |