| NPI | 1104449826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 14161) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 199440) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2024-06-14 |