| NPI | 1851964746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28286308A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 485223) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-03-13 |