| NPI | 1699419465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R051790) |
| 163W00000X Registered Nurse (Licence: NE 95221) | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-07-04 |