| NPI | 1487203998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024178817) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0001202605) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-02-24 |