| NPI | 1588904023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN19466) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R118604) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2020-06-01 |