| NPI | 1679103675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 141409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN704036) |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2023-03-01 |