| NPI | 1316110919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4056) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 159082) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2022-01-27 |