| NPI | 1720704786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 323982) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 13-133746-101) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 138765) | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2025-05-28 |