| NPI | 1801569868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704304479) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 17633) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2025-10-30 |