| NPI | 1790331254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 232144) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN174116) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2023-10-20 |