| NPI | 1669997201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5716) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 239951) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2025-08-25 |