| NPI | 1508238916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20948) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R203095) |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2025-04-29 |