| NPI | 1508480948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28896) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 131214) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-07-29 |