| NPI | 1316581325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 143084) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 211404) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2026-07-20 |