| NPI | 1629585930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001168) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 742476) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2022-01-14 |