| NPI | 1376972257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 260602) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-054675) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29407) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2023-03-22 |