| NPI | 1518529205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29538) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 22967) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-03-21 |