| NPI | 1992494793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 30053) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 144233) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7200) | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2025-09-15 |