| NPI | 1063879583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000830) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.18668) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN281980) | |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2021-02-13 |