| NPI | 1295379998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 126516) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9459113) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2022-03-23 |