| NPI | 1194721712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R124310) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD R124310) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN65522) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171176) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9295517) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2021-09-20 |