| NPI | 1124541248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23427) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 185582) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2025-12-01 |