| NPI | 1972031227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901435) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 904536) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2021-07-16 |