| NPI | 1164108940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 30473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 236895) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-06-23 |