| NPI | 1013403567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 246628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000213332) |
| 363L00000X Nurse Practitioner (Licence: AZ 246628) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA183045) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2020-12-15 |