| NPI | 1619524675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 365274) |
| 207L00000X Anesthesiology (Licence: TX 962382) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2026-08-07 |