| NPI | 1326767146 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024185179)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001312896)  | 
| Enumeration Date | 2022-08-24 | 
| Last Update Date | 2023-04-11 |