| NPI | 1609345263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 226334) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2019-02-08 |