| NPI | 1164216453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 90311) |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-05-27 |