| NPI | 1811666597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R41873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R418736) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-09-12 |