| NPI | 1477963908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 24519) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 103144) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-01-28 |