| NPI | 1174162598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 210686) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 137418) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-03-27 |