| NPI | 1760775936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024190058) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 88338) |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2025-12-22 |