| NPI | 1689193013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 115261) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 234098-30) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 115262) | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-12-13 |