| NPI | 1740669787 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11019520)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 670477)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2074)  | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 907485)  | |
| Enumeration Date | 2015-05-22 | 
| Last Update Date | 2025-04-24 |