| NPI | 1215774633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 30403) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 265393) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2026-05-26 |