| NPI | 1194784348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H179452) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D088674) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2025-06-20 |