| NPI | 1710342225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 222910) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN222910) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 223528) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2020-01-15 |