| NPI | 1780264192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 085340-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013019481) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-08-11 |