| NPI | 1770986895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024193481) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 105230) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2025-07-01 |