| NPI | 1083170369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 232343) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 126319) | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2021-04-23 |