| NPI | 1508163437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000037) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 086235) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2022-05-09 |