| NPI | 1215529722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 206015) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 218600) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2022-01-24 |