| NPI | 1104976323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1735) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 044096) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-12-20 |