| NPI | 1649984204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 091106-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2368741) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-09-04 |