| NPI | 1619285301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R189034) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 085265) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2023-12-15 |