| NPI | 1548405780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R851138) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 25643) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3017800) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2022-06-16 |