| NPI | 1104884626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN333595) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R146045) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-11-12 |