| NPI | 1548237514 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 233625) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9413150) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R085863-4) | |
| Enumeration Date | 2006-03-08 | 
| Last Update Date | 2024-10-21 |