| NPI | 1639753775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 261057) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 138301) | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-03-07 |