| NPI | 1629891064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-176553) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AL 1-176553) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-06-05 |