| NPI | 1043803216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 268123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95129102) |
| 163W00000X Registered Nurse (Licence: AZ 158817) | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-01-04 |