| NPI | 1073123790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6646) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 262101) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2021-06-01 |