| NPI | 1790236800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN248626) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20763) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 248626) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 201555) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2023-02-16 |