| NPI | 1164094306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 288075) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 288075) | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-05-25 |