| NPI | 1235636317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: PA RN703168) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN703168) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 118316) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2025-09-24 |