| NPI | 1174309470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 14908) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 218326-30) |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2024-01-16 |