| NPI | 1619658564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 149140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 234079) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28799) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2024-06-05 |