| NPI | 1154792638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0992119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0185818) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 0185818) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2022-10-18 |