| NPI | 1225593783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 8081) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 819424) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2021-07-21 |