| NPI | 1255012290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 144876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN323898) |
| 163W00000X Registered Nurse (Licence: CA 95218840) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-12-06 |