| NPI | 1952807497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21964) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 226957) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 121616) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-09-12 |