| NPI | 1811732126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024196150) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 151686) |
| 163W00000X Registered Nurse (Licence: GA RN276857) | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2026-06-03 |