| NPI | 1225698053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 22983) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 126139) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-08-29 |