| NPI | 1487135760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001505) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 756989) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-06-10 |