| NPI | 1326715830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 30239) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 135467) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-03-29 |