| NPI | 1588200489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 24660) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN659886) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2021-09-02 |