| NPI | 1649722596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 6897) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 094775) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2022-11-04 |