| NPI | 1558922088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 202109920CRNA-P) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11002692) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-01-18 |