| NPI | 1770154304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9518908) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1151525) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 141593) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-02-01 |