| NPI | 1013663244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 202209658CRNA-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 102924) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-07-26 |