| NPI | 1588343123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND 200950) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R46201) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-11-14 |