| NPI | 1710601414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 33532) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901839) |
| 163W00000X Registered Nurse (Licence: MS 905433) | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2023-03-23 |