| NPI | 1609116854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6698) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 225635) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006083) | |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2023-01-31 |