| NPI | 1689652026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2025040490) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R794132) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2025-09-17 |