| NPI | 1780182477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3014116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 223924) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN223924) | |
| Enumeration Date | 2018-01-27 |
| Last Update Date | 2020-03-26 |