| NPI | 1730758582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 88646) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-05-31 |