| NPI | 1558682237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 004513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 084154) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 559658) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-11-04 |