| NPI | 1255322491 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00555) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN540977) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ MA107717) | |
| Enumeration Date | 2005-11-04 | 
| Last Update Date | 2023-08-23 |