| NPI | 1043634926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 13824) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 232976) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2024-10-21 |