| NPI | 1083176630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 277313) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: AZ RN182011) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2022-08-18 |