| NPI | 1639772064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11010861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9324407) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2021-01-29 |