| NPI | 1164982062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN250049) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: GA RN250049) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2021-09-23 |