| NPI | 1720717549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WV 111137) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 29035) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-04-02 |