| NPI | 1477636694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1601) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 76122) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-04-01 |