| NPI | 1508865734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17858) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 188043) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2021-12-28 |