| NPI | 1912589276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11339-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 198770-30) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-12-30 |