| NPI | 1528697729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 27754) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10008147) |
| 163W00000X Registered Nurse (Licence: TN 200613) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-07-27 |