| NPI | 1255024089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 294271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 8483114-3102) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2024-03-07 |