| NPI | 1467999805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 147951) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 222381) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2024-04-05 |