| NPI | 1063274785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 86897) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D177934) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-02-20 |