| NPI | 1992128391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07624) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 287354) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2026-03-25 |