| NPI | 1538524475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25611) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI 107987) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2025-03-10 |