| NPI | 1255877999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 30010) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN20692) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2022-03-29 |