| NPI | 1972172286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12.010068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 318074) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: RI 04034) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-08-23 |