| NPI | 1710480538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 121611) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: NC 302864) |
| 163WS0200X Registered Nurse School (Licence: SC 102060) | |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2018-06-01 |