| NPI | 1720753593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN255296) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN255296) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2023-09-26 |