| NPI | 1134612617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R176157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r176157) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-05-26 |