| NPI | 1962040204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN255529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN714184) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN714184) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-01-28 |