| NPI | 1780064600 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP08388) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN128513) | 
| Enumeration Date | 2015-06-05 | 
| Last Update Date | 2023-05-02 |