| NPI | 1205103512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 810640) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17714) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2022-01-06 |