| NPI | 1295146090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 5865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT R54831) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-12-22 |