| NPI | 1528066305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1424) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 079335) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2025-07-01 |