| NPI | 1356766943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9365608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9365608) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18722) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008685) | |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2021-07-27 |