| NPI | 1467422212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 15017) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 110405) |
| 163W00000X Registered Nurse (Licence: FL RN2870072) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2025-09-02 |