| NPI | 1487668331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0161) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 026-0032061) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-09-08 |