| NPI | 1639864309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 34269) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1154482) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-07-13 |