| NPI | 1225664105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 213674) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN154852) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2022-04-14 |