| NPI | 1669914198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 114837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN611782) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2025-03-03 |