| NPI | 1518022805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 41906) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 077020) | |
| 163W00000X Registered Nurse (Licence: MA 228340) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN228340) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-11-20 |