| NPI | 1962019398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 145037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 12138122) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2025-02-04 |