| NPI | 1124353982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C02903) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2009007465) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2021-04-08 |