| NPI | 1811404981 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1467)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN192336)  | 
| 207L00000X Anesthesiology (Licence: AZ CRNA1467)  | |
| Enumeration Date | 2018-01-10 | 
| Last Update Date | 2024-11-20 |