| NPI | 1306802582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6504) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4704109569) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-03-19 |