| NPI | 1487110565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 126325) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 261221) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-12-17 |