| NPI | 1053967141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN241031) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 272950) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-03-18 |