| NPI | 1558978601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11010610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9443013) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-09-25 |