| NPI | 1609354042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024187218) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R041463) |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2023-09-14 |