| NPI | 1538312590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000712) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R033602) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R29308) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2023-12-28 |