| NPI | 1982246328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11005568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN924226) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101666) | |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2021-08-02 |