| NPI | 1053900571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 218165) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 218165) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-27 |