| NPI | 1174168686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 206869) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 810213) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021031891) | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2023-05-22 |