| NPI | 1942717400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN226761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN226761) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 25172) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-12-14 |