| NPI | 1619288487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT NUR-APRN-LIC-101159) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 083573) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-03-14 |