| NPI | 1053374272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20257) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 071606) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 144591) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2022-03-17 |