| NPI | 1598410672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11017742) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 76865) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-04-08 |