| NPI | 1730709486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN629994) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN178240) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 748921-1) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2021-03-16 |