| NPI | 1083628937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1319) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 051314) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-08-22 |