| NPI | 1841748423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 22620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 206679) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2022-01-04 |