| NPI | 1548732969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 25350) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN589092) |
| 163W00000X Registered Nurse (Licence: TN 234050) | |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2019-05-09 |