| NPI | 1750842696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 22897) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 210123) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-09-15 |