| NPI | 1396488383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D169512) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IA 126981) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2023-03-07 |