| NPI | 1568149060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 75865) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R44675) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2024-05-01 |