| NPI | 1265248744 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101909)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D183077)  | 
| 163W00000X Registered Nurse (Licence: NE 67459)  | |
| Enumeration Date | 2024-12-09 | 
| Last Update Date | 2025-02-05 |