| NPI | 1407628647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001259967) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 154262) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2025-05-30 |