| NPI | 1275076713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11031285) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 686269) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2024-11-05 |