| NPI | 1184031288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 254534) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA RN598141) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0106204) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2021-09-21 |