| NPI | 1295246874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5790) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 119931) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2025-09-15 |