| NPI | 1700516432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7638) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26185) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-03-27 |