| NPI | 1568863553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 19473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000183529) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2025-01-16 |