| NPI | 1689048449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2480) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: VA 00012559945) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2020-10-13 |