| NPI | 1891417564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11038165) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 699014) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2025-05-05 |