| NPI | 1518926674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 46987) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000021002) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NV 000149) | |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2021-06-17 |