| NPI | 1386660967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 367500000x) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 1862) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-04-10 |