| NPI | 1356858286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R52134) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 169438-9) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2183) | |
| Enumeration Date | 2017-12-31 |
| Last Update Date | 2022-08-22 |