| NPI | 1730812264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4033880) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 139092) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-04-08 |