| NPI | 1861135337 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28756) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 257038) | 
| Enumeration Date | 2022-04-13 | 
| Last Update Date | 2024-05-23 |