| NPI | 1063783363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3014883) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN155625) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R871848) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2024-05-17 |