| NPI | 1518921071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA rn172375) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 2353) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2024-02-20 |