| NPI | 1477078343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25294) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000974) |
| 163W00000X Registered Nurse (Licence: VA 0001245848) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2021-11-05 |