| NPI | 1811455488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN202032) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 006204) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29624) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2021-10-27 |