| NPI | 1588209498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 126364) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 230085) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-05-12 |