| NPI | 1114319712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024180840) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R182570) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2025-03-21 |