| NPI | 1366738239 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201903844CRNA) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 100035) | 
| Enumeration Date | 2011-06-20 | 
| Last Update Date | 2022-04-20 |