| NPI | 1831651892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 926333) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9263) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001452) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-02-04 |