| NPI | 1801523121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 143898) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13417) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-02-28 |