| NPI | 1710530332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11003552) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9325649) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-31 |