| NPI | 1326767146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 008166) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024185179) |
| 163W00000X Registered Nurse (Licence: VA 0001312896) | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2026-02-16 |