| NPI | 1174069785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN609388) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 651265) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2026-08-14 |