| NPI | 1790073914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 212317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 100439) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 23023) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2022-04-29 |