| NPI | 1619311404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 173826) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 810534) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2025-03-05 |