| NPI | 1275989832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 9147) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC 109892) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2022-06-28 |