| NPI | 1184282949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11002640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012026769) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-06 |