| NPI | 1376106591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 121349) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R094191) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-07-10 |