| NPI | 1811365315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 40924.1718) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 201505577RN) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2018-03-17 |