| NPI | 1013488220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN230853) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27094) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2022035596) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-03-06 |