| NPI | 1255921664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26685) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 131295) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA GAA-CRNA000047) | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2024-03-15 |