| NPI | 1780143065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6199) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 124179) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-03-03 |