| NPI | 1053559351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4482) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 43313) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2021-06-17 |