| NPI | 1831796614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29781) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 133854) |
| 163WS0200X Registered Nurse, School (Licence: MS 904087) | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-07-09 |