| NPI | 1649763889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D125341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 228022) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-02-17 |