| NPI | 1376392316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 13350) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 102744) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-06-21 |