| NPI | 1487959946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000118) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169698) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1920) | |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2020-04-14 |