| NPI | 1619658606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11030625) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: FL 9361260) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-02-12 |