| NPI | 1104499094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 149052) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CT 178848) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-07-15 |