| NPI | 1063176683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11017501) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9435260) |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-01-14 |