| NPI | 1053399279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28156532A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006851A) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-09-17 |