| NPI | 1164945275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 170716) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 23326) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2020-10-02 |