| NPI | 1982264644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 8259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 126259) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12) | |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2019-08-12 |