| NPI | 1386028470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1788) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 702453) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2021-06-22 |