| NPI | 1457923807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 312029) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 191562) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2025-09-29 |