| NPI | 1114597150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R266046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R096584) |
| 163W00000X Registered Nurse (Licence: MD R266046) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-07-16 |