| NPI | 1083967400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 90519) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 078773) |
| 363L00000X Nurse Practitioner (Licence: CT 5253) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2022-09-08 |