| NPI | 1538557921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5129) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 196745) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2024-07-12 |