| NPI | 1306108527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 2331) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 195327) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2022-03-17 |