| NPI | 1659673424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024170003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 221949) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2026-06-24 |