| NPI | 1023630670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R207918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R207918) |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2021-11-12 |