| NPI | 1578208104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN258794) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2023-11-08 |