| NPI | 1063594745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 3293) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 182618) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-06-11 |