| NPI | 1659564524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7409) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 3188672) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2025-11-03 |