| NPI | 1548773054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6607) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21642) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-08-04 |