| NPI | 1023582871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25275) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 203118) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2022-01-25 |