| NPI | 1639182777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20336) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 049352) |
| 163W00000X Registered Nurse (Licence: NC 119281) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-07-25 |