| NPI | 1760995849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 296832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 296832) |
| 163W00000X Registered Nurse (Licence: TN 174218) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23792) | |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2021-06-22 |