| NPI | 1811598998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11010625) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9408811) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-12-30 |