| NPI | 1588919872 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0890)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN144255)  | 
| Enumeration Date | 2012-07-23 | 
| Last Update Date | 2021-06-01 |