| NPI | 1619580925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 293712) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28077) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2024-01-16 |