| NPI | 1063905867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC004750) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21940) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-02-24 |