| NPI | 1578380317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0138423) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN716491) |
| 163W00000X Registered Nurse (Licence: WV 114043) | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-11-21 |