| NPI | 1053833350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000774) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 0000) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2023-03-21 |