| NPI | 1265007710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25005) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6622) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2022-01-13 |