| NPI | 1003195892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177054) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 161195) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2020-05-29 |