| NPI | 1962040600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 081838-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN682394) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024185830) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2023-07-25 |