| NPI | 1861247504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 135.0000097) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 135.0000098) |
| 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000249) | |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2025-12-24 |