| NPI | 1245657584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D161578) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1114) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201401515CRNA) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2021-11-01 |