| NPI | 1285093351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 6833-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI F0216734) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2019-10-16 |