| NPI | 1376183764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 76968) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-05-06 |