| NPI | 1902202682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 104101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 166342) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2022-03-23 |