| NPI | 1356909790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN143278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 143278) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 206908) | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2021-08-07 |