| NPI | 1407993967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN152736) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 228034) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-11-10 |