| NPI | 1669070801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024188840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9345511) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0996379) | |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2024-07-08 |