| NPI | 1184246365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 9094) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 95035) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-08-18 |