| NPI | 1912574815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 220364) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN140553) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |