| NPI | 1629165568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1817) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 165255) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-05-19 |