| NPI | 1023687928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 86320) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D168809) | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2022-05-17 |