| NPI | 1437336815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010003363) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: GA 194626) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2023-02-16 |