| NPI | 1306466859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R045139) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 127622) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-07-20 |