| NPI | 1477090173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3011047) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 24197) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2023-03-27 |