| NPI | 1679366520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 14892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 190417) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-06-17 |