| NPI | 1598561276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0137975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2017001287) |
| Enumeration Date | 2025-02-22 |
| Last Update Date | 2025-09-11 |