| NPI | 1578893004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 4084) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2025-09-05 |