| NPI | 1124642319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 248230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN179478) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-11-12 |