| NPI | 1619674116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 298211) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-10-15 |