| NPI | 1275954315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA GAA-CRNA000219) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18652) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2023-11-20 |