| NPI | 1295577880 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 151838) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 256411) | 
| Enumeration Date | 2024-06-12 | 
| Last Update Date | 2025-01-17 |