| NPI | 1871124479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 23942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 94732) |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-06-11 |