| NPI | 1861882763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28154773A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005323A) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2023-01-08 |