| NPI | 1205417805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 286920) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 31924) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2026-08-26 |