| NPI | 1306247192 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1127) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 666851-1) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 666851-1) | |
| Enumeration Date | 2014-09-11 | 
| Last Update Date | 2020-10-02 |