| NPI | 1285656397 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP05030)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R871077)  | 
| Enumeration Date | 2006-07-25 | 
| Last Update Date | 2022-07-21 |