| NPI | 1912542762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11006456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041382122) |
| 163W00000X Registered Nurse (Licence: KY 1147870) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-03-10 |