| NPI | 1558821793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA CRNA002437) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 256338) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-09-13 |