| NPI | 1205139102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4437) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 085788) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2022-02-09 |