| NPI | 1568826014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9301617) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 779426) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-02-11 |