| NPI | 1790305852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 27765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 899452) |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2021-07-08 |