| NPI | 1790045516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9415618) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 707929) |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2021-03-31 |