| NPI | 1619655784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND 203515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R40129) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-11-05 |