| NPI | 1003113507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06338) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 102458) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2025-01-02 |