| NPI | 1023355500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024173141) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 798412) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2020-08-07 |