| NPI | 1265723530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023038162) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA rn142620) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 792959) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2024-04-16 |