| NPI | 1518926609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1247) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 43808) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2023-02-20 |