| NPI | 1225816762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 15393-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 248164-30) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-07-03 |