| NPI | 1386230316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27360) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 134276) |
| 163W00000X Registered Nurse (Licence: GA RN248535) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2023-06-22 |