| NPI | 1376874263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4100) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA Rn163102) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2025-03-13 |