| NPI | 1487322384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 006789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 209776) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-02-10 |