| NPI | 1972360865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR APRN-CRNA10022075) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 448246) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10022075) | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2025-01-24 |