| NPI | 1285434571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 153556) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 153556) |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2025-06-25 |