| NPI | 1356942460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11010584) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11018584) |
| 163W00000X Registered Nurse (Licence: FL 9446193) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27161) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2023-05-05 |