| NPI | 1184003378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R086175) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20917) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2020-07-09 |