| NPI | 1073791612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21101) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 078902) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2022-03-31 |