| NPI | 1245625698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101300) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 68442) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2023-01-23 |