| NPI | 1386215911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 679644) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 16904) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2025-07-24 |