| NPI | 1003170812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06952) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 115959) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-08-21 |