| NPI | 1366190068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 226655) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 143088) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2022-07-11 |