| NPI | 1528742459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 215260) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0114017) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-10-18 |