| NPI | 1003223314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101259) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 68437) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D137536) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2022-10-20 |