| NPI | 1154132033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10049103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2371923) |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2026-07-14 |