| NPI | 1568117588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001683) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 136851) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-03-24 |