| NPI | 1558123984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 94731) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-07-17 |