| NPI | 1710508411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11019641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9424885) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2022-05-15 |