| NPI | 1316394984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20215) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024178596) |
| 163W00000X Registered Nurse (Licence: SC 213227) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2022-02-10 |