| NPI | 1205480381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 26611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 174535) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-12-26 |