| NPI | 1336812338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 127331) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12013) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-07-05 |