| NPI | 1114203130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR c002890) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR R40164) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2022-07-21 |