| NPI | 1528671377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11011229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9355903) |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2021-02-17 |