| NPI | 1548792484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D155451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 133965) |
| 363L00000X Nurse Practitioner (Licence: IA D155451) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2020-04-27 |