| NPI | 1952819054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC006626) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN213687) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209017089) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2025-07-03 |