| NPI | 1912373226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000413) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 748902) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2025-10-21 |