| NPI | 1588930630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN165260) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9289296) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2021-03-31 |