| NPI | 1023079282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN066211) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 76457) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2023-10-27 |