| NPI | 1275191710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 22894) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 126119) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-04-19 |