| NPI | 1881270783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 11984469-4406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN265713) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-09-15 |