| NPI | 1710250972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17894) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 107216) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 089889) | |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2020-11-11 |