| NPI | 1144868605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 12727407-4406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN690124) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2024-03-23 |