| NPI | 1700375524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 328754) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 685804) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-02-19 |