| NPI | 1306313937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11001120) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 895317) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901550) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2020-10-02 |