| NPI | 1659644490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 68104) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2021-07-15 |