| NPI | 1043863376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 122768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 8273) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |