| NPI | 1649915638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 315928) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 8625166-8901) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-04-08 |