| NPI | 1629242029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5183) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 9607) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2025-09-22 |