| NPI | 1083785695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2018044045) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557644) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN101263) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-01-18 |