| NPI | 1760115323 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC CRNA500001571) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN500001571) | 
| Enumeration Date | 2022-07-01 | 
| Last Update Date | 2024-06-14 |