| NPI | 1558699090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 202035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 688535) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3885) | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2022-01-28 |