| NPI | 1922748953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 10658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 17709948) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA 2268702) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-06-27 |