| NPI | 1457038473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 142733) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 813979) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2025-08-21 |