| NPI | 1316444367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2313358) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 265579) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2020-01-10 |