| NPI | 1518130517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN084844) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 102048) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2024-10-31 |