| NPI | 1710553474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN291404) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 133695) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2025-05-27 |