| NPI | 1952940603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 128610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95362246) |
| Enumeration Date | 2019-12-29 |
| Last Update Date | 2024-06-20 |