| NPI | 1073181160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11377) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 308400) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-05-18 |