| NPI | 1194066548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 201182) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2022-01-26 |