| NPI | 1154864940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21096) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 116788) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2020-11-09 |