| NPI | 1467064022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 9235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 141628) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L1-0040041) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-06-19 |