| NPI | 1992785604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 258795) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 054106) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-06-16 |