| NPI | 1285271841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6312) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 128760) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2024-12-11 |