| NPI | 1023316122 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 0582311-23)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169277)  | 
| Enumeration Date | 2011-03-14 | 
| Last Update Date | 2020-08-18 |