| NPI | 1801372602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 109719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 289626) |
| 163W00000X Registered Nurse (Licence: OK R109719) | |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2021-09-21 |