| NPI | 1992207963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9362375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9362375) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2021-03-05 |