| NPI | 1063784783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 89570) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 044944-23) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2020-10-27 |