| NPI | 1548815624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 207214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN147744) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |