| NPI | 1144866773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN744542) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6808) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2023-09-22 |