| NPI | 1114468626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5599) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 113631) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-03-10 |