| NPI | 1679114094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024193252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001336279) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 124141) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2026-01-19 |