| NPI | 1023459732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18362) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 57161) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-03-15 |