| NPI | 1134787666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 23852) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 769547) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2021-10-19 |