| NPI | 1063049716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 23966) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 131259) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2022-01-20 |