| NPI | 1225450430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000706) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 171234) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2023-02-28 |