| NPI | 1376181818 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 212219) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25785) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: HI APRN-2830) | |
| Enumeration Date | 2019-12-16 | 
| Last Update Date | 2024-01-17 |