| NPI | 1083365027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 139246) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 16199) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-12-20 |