| NPI | 1740969872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 202807) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-01-19 |