| NPI | 1629466990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A11031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R209789) |
| 367H00000X Anesthesiologist Assistant (Licence: DE L6-0A11031) | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2025-04-30 |