| NPI | 1639643778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 122222) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9314914) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2023-06-12 |