| NPI | 1356738918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000971) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D139848) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-05-02 |