| NPI | 1992560015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 79157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9494966) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11032811) | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-05-23 |