| NPI | 1568795904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 406037) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 49284) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2024-02-25 |