| NPI | 1285087064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 108209) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 108206) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-02-27 |