| NPI | 1255850046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29643) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ CRNA1432) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 3-001288) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901713) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704366058) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2025-03-10 |