| NPI | 1619659380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 34597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 8811487-3102) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-10-03 |