| NPI | 1265697296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0112072) |
| Additional Taxonomies | 172A00000X Driver (Licence: OK 080375584) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2025-12-02 |