| NPI | 1922773035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 819648) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 131753) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-05-22 |