| NPI | 1518075647 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3391) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 52699) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN667877) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA203007) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 10753) | |
| Enumeration Date | 2006-08-28 | 
| Last Update Date | 2021-07-06 |