| NPI | 1912657040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 13016) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 138277) |
| 163W00000X Registered Nurse (Licence: WI 221255) | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-10-31 |