| NPI | 1093755456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 5622) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO SRA100031) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-08-16 |