| NPI | 1063085751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 138250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 278357) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-12-22 |