| NPI | 1568407294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 3920) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-090904) |
| 163W00000X Registered Nurse (Licence: NC 260459) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 75144) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-05-08 |