| NPI | 1700454816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 68793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R238159) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2023-10-02 |