| NPI | 1932717212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 254322) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-09-09 |