| NPI | 1073056610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R241981) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 113633) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2020-03-26 |