| NPI | 1629849773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024197966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 240740) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2026-07-23 |