| NPI | 1104524115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 144770) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 242562) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-06-05 |