| NPI | 1821616665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-200303) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 143831) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2025-08-29 |