| NPI | 1568739779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 4821) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 203369) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2024-10-21 |