| NPI | 1861169716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11741) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 137670) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-01-09 |