| NPI | 1407384787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23068) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 137589) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-09-20 |