| NPI | 1487166930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11008232) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 266819) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2024-05-07 |