| NPI | 1558958694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6535) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 134249) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2025-01-17 |