| NPI | 1093189409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN282233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 193275) |
| 163W00000X Registered Nurse (Licence: AL 1-126864) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20830) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2021-08-12 |