| NPI | 1730537515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 76943) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME 67377) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2018-11-12 |