| NPI | 1124517917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT NUR-APRN-LIC-219984) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1512) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-05-02 |