| NPI | 1407479553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 23911) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 131218) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-165125) | |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2024-07-01 |