| NPI | 1699069971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 88354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 117440) |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2022-05-18 |