| NPI | 1639812233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 221061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R091585) |
| 163W00000X Registered Nurse (Licence: KS 146936) | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-10-20 |