| NPI | 1114565496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 285008) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 0000000) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26464) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-09-16 |