| NPI | 1629094248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN131489) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021018041) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2016015968) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-06-14 |