| NPI | 1235550468 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18631) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 100947) | 
| Enumeration Date | 2013-12-13 | 
| Last Update Date | 2021-12-29 |