| NPI | 1922622919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 8168) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 127535) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2026-03-26 |