| NPI | 1215982608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17897) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 176035) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-03-08 |