| NPI | 1689319410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 295659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 159758) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 10646) | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2023-08-01 |