| NPI | 1497174593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000839) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R48418) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2025-09-24 |