| NPI | 1720130677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 075308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 145571) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2021-03-30 |