| NPI | 1043878416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 124138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 290069) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2021-09-10 |