| NPI | 1174967210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA APRN-CRNA184403) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN184403) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2025-10-10 |