| NPI | 1508436684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 139419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 313257) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-09-26 |