| NPI | 1972197036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D162943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R037943) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-04-13 |