| NPI | 1174524110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2011007237) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 176646) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2021-03-10 |