| NPI | 1295776961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-089345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-089345) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29181) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-03-31 |