| NPI | 1275205833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND 203061) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 261849-30) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2025-09-16 |