| NPI | 1558183137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 1119122) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 3121) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2025-07-29 |