| NPI | 1811676943 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 234039)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN155509)  | 
| Enumeration Date | 2023-07-17 | 
| Last Update Date | 2024-01-04 |