| NPI | 1669939930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1002482) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717746) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2020-12-03 |