| NPI | 1821618695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 129696) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 134279) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2024-07-13 |