| NPI | 1801467436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 141599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 267577) |
| 163W00000X Registered Nurse (Licence: PA RN609836) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-09-03 |