| NPI | 1295224764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP09993) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 118376) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-01-23 |