| NPI | 1275836140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4435) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 85770) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2022-01-29 |