| NPI | 1144844481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11007356) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 129981) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-12-19 |