| NPI | 1609631704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10022956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10022956) |
| 163W00000X Registered Nurse (Licence: CA 95097489) | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-05-28 |