| NPI | 1609447945 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 308011)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN198600)  | 
| Enumeration Date | 2021-07-07 | 
| Last Update Date | 2024-05-28 |